MEDIAN CARE LLC, EDINA

provider_name-MEDIAN CARE LLC

physical_address- 5709 HANSEN RD

physical_city-EDINA

physical_state -MN

physical_zip- 55436

county_name-HENNEPIN

telephone- 6124334255

adminstrator/authorized_agent- DENNIS MAKIYA

license_type-  LIMITED LIABILITY COMPANY

swing_status-

hfid- 41570

license_number- 420726

medicare_number-

mn_classification- PROVISIONAL ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-5

https://www.health.state.mn.us/facilities/regulation/assistedliving/index.html

https://www.revisor.mn.gov/statutes/cite/144G.91